title: The Winning with Wellness pilot project: rural Appalachian elementary student physical activity and eating behaviors and program implementation 4 years later.
abstract: School-based efforts to promote physical activity and healthier eating are a potentially effective approach to decreasing child obesity in rural populations. This article describes follow-up data on student activity and eating behaviors 4 years after implementation of the Winning with Wellness obesity prevention initiative. This project was based on the Centers for Disease Control and Prevention's coordinated school health model and used a community-based participatory research approach to address health behaviors in rural Appalachian elementary students. Results suggest significant increases in daily pedometer steps and healthier food selections by students as well as teacher support for continued health promotion efforts.
authors.affiliation: Department of Pediatrics, East Tennessee State University, Johnson City, TN 37614, USA. schetzin@etsu.edu
authors.forename: Karen E
authors.initials: KE
authors.lastname: Schetzina
authors.forename: William T
authors.initials: WT
authors.lastname: Dalton
authors.forename: Deborah T
authors.initials: DT
authors.lastname: Pfortmiller
authors.forename: Hazel F
authors.initials: HF
authors.lastname: Robinson
authors.forename: Elizabeth F
authors.initials: EF
authors.lastname: Lowe
authors.forename: H Patrick
authors.initials: HP
authors.lastname: Stern
mesh_terms: D056044:Actigraphy; D001061:Appalachian Region; D002648:Child; D003625:Data Collection; D004032:Diet; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D009765:Obesity / Q000517:prevention & control; D010865:Pilot Projects; D016730:Program Development; D012424:Rural Population; D013334:Students